Organization
VIBRANT LIVES OF MONTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELAINYA RYAN LCPC (EXECUTIVE DIRECTOR)
(406) 925-3677
Entity
Organization
Contact information
Practice address
212 E BANNACK ST, DILLON, MT 59725-2706
(406) 925-3677
Mailing address
212 E BANNACK ST, DILLON, MT 59725-2706
(406) 925-3677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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